Katricak, Kenneth John

Katricak, Kenneth John is an individual health care provider with primary practice located at 1131 E Broad St , Elyria OH 44035-6305. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Katricak, Kenneth John can be contacted via phone (216) 270-7464.

Contact Information

Primary practice address
1131 E Broad St Elyria OH 44035-6305
Phone: (216) 270-7464
Fax: (440) 387-4706
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN212255 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C1801465 Ohio

Profile Details

NPI number 1952991051
LBN Legal business name Katricak, Kenneth John
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2021
Last updated Jan 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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